National Provider Identifier
Bethany Grace Moran, RDN
Bethany Grace Moran, RDN is listed in the NPPES registry with a primary specialty of Registered Dietitian in Rochester, NY and a listed phone number of (585) 602-0801.
Profile Overview
- NPI
- 1417672007
- Provider Type
- Individual
- Primary Specialty
- Registered Dietitian
- Enumeration Date
- October 06, 2022
- Last Updated
- August 14, 2023
Practice Location
- 46 Prince St Ste 3001
- Rochester, NY 14607-1023
Phone: (585) 602-0801
Specialties
- Registered Dietitian (133V00000X)
- Health Educator (174H00000X)
- Registered Dietitian (133V00000X)
Full Record
- NPI
- 1417672007
- Entity Type
- Individual
- Last Name
- Moran
- First Name
- Bethany
- Middle Name
- Grace
- Credential
- RDN
- Mailing Street Address
- 46 Prince St Ste 3001
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14607-1023
- Mailing Country
- US
- Practice Street Address
- 46 Prince St Ste 3001
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14607-1023
- Practice Country
- US
- Practice Phone
- (585) 602-0801
- Enumeration Date
- October 06, 2022
- Last Updated
- August 14, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- August 14, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Dietitian (133V00000X), Health Educator (174H00000X), Registered Dietitian (133V00000X)